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What should the social worker recommend for Mr. and Mrs. Williams during their initial interview, given their emotional state?

  1. Refer them to a psychiatric clinic for possible medication and long-term therapy

  2. Encourage them to express their feelings without restraint

  3. Suggest couple's therapy as a first step

  4. Send them home with self-help resources

The correct answer is: Refer them to a psychiatric clinic for possible medication and long-term therapy

Recommending a referral to a psychiatric clinic for potential medication and long-term therapy is a sound approach when Mr. and Mrs. Williams are experiencing significant emotional distress. This option acknowledges the possibility that their emotional state may constitute mental health issues that require professional intervention beyond what can be provided in a typical counseling session. Medication may stabilize their symptoms, while long-term therapy can help them process their emotions and develop coping strategies. This recommendation prioritizes their immediate mental health safety and wellbeing, ensuring that they receive comprehensive care tailored to their specific needs. By addressing the potential biological and psychological components of their emotional state, this option sets a solid foundation for ongoing support and recovery. It reflects understanding that some situations are complex and may benefit from a multi-faceted treatment approach involving both medication and therapeutic support.